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From its discovery in 1929 by Hans Berger until the late 1960s,
when sensory visual and auditory evoked potentials were dis covered
and became popular, the EEG was the most important method of
neurophysiological examination. W-ith the advent of computer
technology in the 1980s, it became possible to plot the potential
fields of the EEG onto models of the scalp. This plot ting of
information as neuroimages followed the structural and functional
techniques of Cf, MRI, PET and SPECf. The success of this method,
which began in the early 1980s, has led to the brain mapping of
EEGs and EPs being increasingly used for di agnosistic purposes in
neurology, psychiatry and psychopharma cology. The pioneers of this
method believed in it and were commit ted to its success. However,
many traditionalists felt that it gave no new information and so
regarded the method with scepticism. Some found both the coloured
maps and the mapping technique misleading, which led to unnecessary
conflict between mappers and their chromophobic oponents. Emotions
have run so high that some professional bodies have justifiably
adopted guidelines and warned of the misuse of the method."
In the last two decades imaging of the brain, or neuroimaging, has
become an integral part of clinical and research psychiatry. This
is due to recent advances in computer technology, which has made it
relatively easy to generate brain images representing structure and
function of the central nervous system. Currently used clinical
diagnostic imaging modalities, such as X-ray computed tomography
(CT) and magnetic resonance imaging (MRI) , provide predominantly
anatomic information. CT images reflect X-ray attenuation
distribution within the brain, whereas MRI signals depend primarily
on proton sensitivity and tissue relaxivity. The chapter
"Structural Imaging Methods" reviews CT and MRI studies on
schizophrenic and affective disorders and degenera tive central
nervous system diseases. The impact of fast three dimensional (3-0)
imaging and the automatic transfer from 3-D elements in the brain
to artificial diagrams based on this information is considered.
Since the original report of the findings of Ingvar and Franzen in
1974 and the introduction of regional cerebral blood flow (rCBF)
measurements, single photon emission computed tomography (SPECT)
has been gaining acceptance as one of the major imaging techniques,
and it is available in most nuclear medicine depart ments. The
section "Functional Imaging Methods (Cerebral Blood Flow - CBF,
Single Photon Emission Computerized Tomography - SPECT)" describes
rCBF studies with the 133Xe inhalation method utilizing a 254
detector system and rCBF images measured by SPECT using the tracer
99mTc-HMPAO.
Imaging procedures have been used for many years and are becoming
increasingly important in a number of medical disciplines. This is
due to recent technological advances, primarily computerization.
The meth ods employed in CNS diagnostics are collectively referred
to as "neu roimaging" and include procedures for investigating both
cerebral morphology and cerebral function, such as computed
tomography (CT), magnetic resonance imaging (MRI), positron
emission tomogra phy (PET), and single-photon emission computed
tomography (SPECT). Topographic mapping of electroencephalograms
(EEG) and evoked potentials represents one of the functional
procedures and per mits topographic imaging of EEG, evoked
potentials, and magnetic fields. The latter application includes
not only magnetic fields evoked by stimuli relating to different
sensory modalities, but also endogenous and motor fields resulting
from spontaneous brain magnetic activity, as recorded by
magnetoencephalograms (MEG), the magnetic comple ment of the EEG.
The advantage of recording electric and magnetic fields over other
neuroimaging procedures is that these techniques are completely
noninvasive and have extremely short analysis times (in the
millisecond range). The aim of this book is to clarify the current
state of this emerging technology, to assess its potential for
substantive contributions to brain research, to delineate areas for
further research and, over all, to envis age clinical applications
in disciplines such as psychiatry, neurology, and neuropsychology."
Dementia of Alzheimer type (DAT), multiinfarct dementia (MID) and
dementia occurring in the course of Parkinson's disease (PD +D) now
make up one of the largest categories of chronic diseases in the
elderly. In addition to the burden those illnesses impose on the
affected individuals and their families they consume large
socio-economic re- sources. In the light of all the above mentioned
features, it seemed to us that a Symposium on behalf of the 125th
Anniversary of Birth of Aloys Alzheimer was particularly
well-suited to help to advance research on Alzheimer's disease and
other dementias. This International Symposium combined with a
Satellite Symposium about "Clinical Aspects of Alz- heimer
Dementias" took place in June 1989 in Wiirzburg and has been
organized by the Psychiatric Departments of the Universities of
Wiirzburg and Munich (H. Beckmann, K. Maurer, P. Riederer, H.
Hippius and H. Lauter) and the Department of Pathochemistry and
General Neurochemistry of the University of Heidelberg (S. Hoyer).
In the chapters which follow, thorough reviews of recognized
authorities in the field of dementia are given in the four main
fields of epidemiology, neuropathology, neurochemistry and clinics.
This Symposium and the edition of this book would not have been
possible without the generous support of E. Merck, Darmstadt. In
particular we gratefully acknowledge the efforts undertaken by Mr.
Hernandez-Meyer to organizing this symposium and to publish this
book. Furthermore we are grateful to the secretarial help by Mrs.
Moeslein, Miss Philipp and Miss Grabner.
The very name Alzheimer is sure to bring a shudder. Thirty to
forty million people are now afflicted with Alzheimer's disease, a
degenerative brain disorder that strips its victims of their
identity and leaves families bereft and social services strained.
Despite considerable research, the underlying causes of Alzheimer's
disease remain shrouded in mystery. So, too, does the man after
whom it was named. Alois Alzheimer (1864--1915) was practicing
medicine at the Frankfurt Asylum in 1901 when he met a patient, who
would become known as "Auguste D.," whose condition perplexed and
intrigued him. "Alzheimer" is more than a biography; it is a story
of scientific discovery at a crucial stage in the history of
medical psychiatry.
As the essays in this volume show, conceptualizing dementia has
always been a complex process. With contributions from noted
professionals in psychiatry, neurology, molecular biology,
sociology, history, ethics, and health policy, "Concepts of
Alzheimer Disease" looks at the ways in which Alzheimer disease has
been defined in various historical and cultural contexts.
The book covers every major development in the field, from the
first case described by Alois Alzheimer in 1907 through
groundbreaking work on the genetics of the disease. Essays examine
not only the prominent role that biomedical and clinical
researchers have played in defining Alzheimer disease, but also the
ways in which the perspectives of patients, their caregivers, and
the broader public have shaped concepts.
Geschrieben anlasslich der Feierlichkeiten der Islander zur
tausendjahrigen Existenz ihrer Bevolkerung, entwirft Konrad Maurer
ein opulentes Werk der Fruhgeschichte Islands bis hin zum Ubergang
Islands unter die norwegische Herrschaft im 13. Jahrhundert. Der
Rechtshistoriker, Philologe und Skandinavist, der nicht zu Unrecht
als einer der wichtigsten Forderer Islands gilt, gelingt es mit dem
vorliegenden Werk, geschickt Wissen aus dreissig Jahren intensivem
Studium von Rechts- und Geschichtsquellen mit der eigenen Liebe zu
Land und Leuten zu verknupfen."
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